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No. 9217397 Name MARTINAITYTE, Petronele Immaculate Conception Convent residing at R.F.D. 2, Putnam, Conn. 1914 Date of birth Oct. 23, Date of order of admission Feb. 8,1973 Date certificate issued February 8, 1973 by the Superior Court at Putnam, Connecticut Petition No. 5702 Alien Registration No. A14 770 400 Petroneli Mastinaptyte (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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